| NPI | 1952752230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024133) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY32470) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-05-04 |